PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP64-00360R000400010011-5
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: November 17, 2016
• Document Release Date: June 29, 1999
• Sequence Number: 11
• Publication Date: July 11, 1955
• Content Type: FORM

Bf~t'lZlurcl Foam lvo. 1034-Rovise3
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Formprescribedb ~ ? fi'r' *,,,Ul~
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Clomptroller General, ytJ, 9.
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(Am i d February 20, 1952)
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U. S. _Cost__Reimbursl:~ble-
------------------------------------
Department, bureau, or establishment)
Voucher pre~rared at _____:____
- - - - ---------------------------
(Give placo and date)
THE UNITED STATES, Dr., Payee's Account No. ___353_______
To
---------------------------
(Payee) --------
----------------------------
------------------------------------------------
(Address) -------------------
(City) ~c+?+,n
No. grid Date of
Order
Dete of Delivery
or Service
(Enter deaeriptlon atom number of contract or Federal supply
schedule, an~ other Information deerned necessary)
Discount Terms
A~.~~i~0. Vou. Nor ----------?-
10400010011-5
Bu. Vou. No. --------~~.---------------------
PAYMENT:
Complete
partial
tine]
Diffeeences ________________________
shipped from - ---__...' ~ ~
to Weight Government B/L No. Total
I certify that the above bill is correct and just and that payment hae not been received. I (Payee must NOT use this space)
STATINTL (si i I
l
gn or g na
only)
STATINTL
Contract No. ,~],Q], __Date Req. No.
Purauank to authority vested
in me, I certify that this account is correct and proper for payment.
rr
j'Approved for 91 ~i027~g~
-------------- --_ --~ll~~~ ---------
ORIGINAL Title ___CertifY_ing~ffie~r_____________STATINTL
ONLY _
Title _____fob,~r-as#~.ing__Dff3,cer______________ STATINTL
THE REVERSE OF THiS FORM MUST BE EXECUTED WHEN PURCHASES ARE MADE OR SERVICES SECURED WITHOUT WRITTEN AGREEMENT IN ANY FORM
ACCOUNTING CLASSIFICATION (Appropriation Symbol must be shown; other classification optional)
aPPRav.~a:
STATINTL
pro . ng 0 facer
> ------>-?-------- ~w~~~ --f--Y- --- ___, i7_a_,t, for ~ ~ i on'I'reasurer of the United 5tatea in
Paid by --------- ------ .I .I~ Q----------------
Cash, $_______________ (ravor of payee named above.
---------~ on ------------------~-- ------------~ 19-----. Payee --------?------
"When avoucher is signed or receipted in the name of a cowpony or corporation, the name of the person 'skn ?dr~?.i odrl
v riling Oho company or corQpo~rat(e~n e, as 1 as theca Tacit ''p]~~ygs~g~ i~ p~l-.
"John Doo c~~~ h~ ~ti~~~p~~~~~1iMU/FEQs1 rl~ag f~~l/'1-f~`?R84 ~b~36flROfla40fl0~-04415---------------------
tIf the abili ds/a a h ri o rove arc comb ned i^ ono person, one signature only fs nec-
essary; otherwise the approving ofDcer will s gn on the line below "Approved for $_____________ Title ___________________
over his official title. ______", and _____________________
Date ------------------------------
~4,oz5
84
_ 025 ~St~
---------------
------
Amount verified; correct for ___________
((Signature or initials _______.__. _
 ~~nd~ le TeS~~~~Ftele~a~e 2AOQ~IQ4/1 ~: CIA-R~P64~ 00360ROg0400010011-5
Uomptroller Qeneral, U. B. ~~ 1C v ouc er or urcnaces a?~11
8eptembor 7, 1fl60
(Qen, Reg. No. 61, 8upp. No.11D Services ?ther Than Pars?nal
CONTINUATION SHEET
U. S. -_---Cost _Ft?imbtzz'~s~~b1~--------------------------------------------------------- Sheet No. ---~7.------ of Bureau Voucher No, ---.31a----
(Department, bureau, or estab]ishmont}
No. and Data
Dato of
ARTICLES OR SERVICES
QUAN-
UNIT PRICE
AMOUNT
oE Order
Delivery
(Enter doscrlption, item number of contract or Federal supply schedule,
TITY
or Service
and other lnformatlon doomed necessary)
Cost
Per
Dollars
Cls,
YSTEM CONFIDENTT.AL PAYROLL
Treat Labor Costa properly chargeable to
ontraat A101 for the period 6/13/55 thru
/1.9/55.
TATIN
L
eek Ending 6/19/55 STATINT
erhead com sited at interim rate
f
X4,025
g4p
STATINTL
U. 8. GOYEHNMENT Pft INTINO OFPIGr 'j8-B2(j8~-1
Approved For Release 2000/04/11 :CIA-RDP64-003608000400010011-5